This project will identify and examine rural implementation issues, challenges, and potential policy and other strategies in two main areas of the PPACA:(1) health system financing and delivery system reform and (2) insurance coverage expansions. The project will examine and highlight the important differences in how financing and delivery system innovations and insurance reform provisions are likely to work in rural versus urban populations/firms/areas. Researchers will also evaluate how state policy and/or other strategies could be used to achieve more effective rural implementation.

The State Health Access Data Assistance Center (SHADAC) is a program of the Robert Wood Johnson Foundation and a part of the Health Policy and Management Division of the School of Public Health at the University of Minnesota.